CLIA lab
CLIA 25D0893823: Jefferson County Nursing Home
Fayette, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0893823 belongs to Jefferson County Nursing Home in Fayette, MS.
Certificate of Waiver, effective October 31, 2024, expires October 30, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 31, 2024
- Certificate expiration
- October 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 1994
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D0893823
- Lab name
- Jefferson County Nursing Home
- Address
- 910 Main Street, Fayette, MS 39069
- Phone
- (601) 786-3888
- Fax
- (601) 786-9400
Annual test volume the lab reported
- Waived tests
- 3,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Jefferson County Nursing HomeCMS Care Compare ratings for the facility at the same street address
Other labs in Fayette, MS
- Bounds Family MedicalCertificate of Waiver, Other practitioner25D2169469
- Healsafe Wound Clinic LLCCertificate of Waiver, Physician office25D2290784
- Jefferson Comp HTH CTR School Clinic-High SchoolCertificate of Waiver, School or student health service25D0990876
- Jefferson Comp HTH CTR School Clinic-Middle SchoolCertificate of Waiver, School or student health service25D0990877
- Jefferson County HospitalCertificate of Compliance, Hospital25D0317488
- Prime Health and WellnessCertificate of Waiver, Physician office25D2172152
- Safe Haven Home LLCCertificate of Waiver, Other practitioner25D2341892
Related
Questions
What is the CLIA number for Jefferson County Nursing Home in Fayette?
25D0893823, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson County Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0893823 expire?
The CMS file lists October 30, 2026 as the certificate expiration date; the certificate took effect October 31, 2024.